Claims & Recovery Quality Assurance Analyst

Allied Solutions•Carmel, IN

46d

About The Position

This position will create and perform Quality Assurance Audits on Allied’s claims and recovery processes to assess and improve accuracy and compliance with state regulations, carrier policy interpretations, and client service standards. This position is responsible for creating, facilitating, and maintaining written procedures as well as perform system, procedure, and process testing to identify and implement process and quality improvements.

Requirements

High School Diploma or GED required
3 – 4 years related experience

Nice To Haves

Bachelor’s degree preferred; or equivalent combination of education and experience
Property & Casualty license (if auditing P&C claim processes) preferred
Maintains an adjuster license in all states that require it (if auditing P&C claim processes) preferred

Responsibilities

Perform Quality Assurance Audits
Perform Quality Assurance audits related to claim setup, adjudication, and settlement processes to ensure compliance with established procedures, state regulations, and carrier commitments
Identify Trending Errors
Identify and collect error patterns and gaps in procedures and processes related to claim setup, adjudication, and settlement.
Create and implement solutions while collaborating with the business units.
Calibrate Procedure and Process Manuals
Validate, write, and format current and new procedure and process manuals to ensure they are consistent, well written, support system functionality and drive productive and compliant results.
Assisting in Direction and Testing
Provide analytical responses and direction to claims and recovery employees for claim handling procedures and processes.
Identify and create tips and alerts.
Conduct research in response to carrier or other third-party examinations.
Assist in regression testing for process and system enhancements.
Other responsibilities and duties as needed.